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50 Cards in this Set

  • Front
  • Back

What is immunity?

A biological term that describes a state of having sufficient biological defenses to avoid infection, disease, or other unwanted biological invasion




Involves both specific and non-specific components




The nonspecific- components act either as barriers or as eliminators of wide range of pathogens irrespective antigenic specificity




Other components of the immune system adapt themselves to each new ideas encountered and are able to generate pathogen-specific immunity

Host defenses:



Innate nonspecific


Acquired, specific; third line of defense

Innate nonspecific:

First line of defense


Second Line of defense

First line of defense:

PCG


Physical barriers, Chemical barriers, Genetic barriers




is a surface protection composed of anatomical and physiological barriers that keep microbes from penetrating sterile body compartments.

Second line of defense:

IIPC


Inflammatory response, interferons, phagocytosis, Complement




is a cellular and chemical system that comes immediately into play if infectious agents make it past the surface defenses. Examples include phagocytes that engulf foreign matter and destroy it, and inflammation which holds infections in check.

Acquired, specific; third line of defense

Naturally acquired, Artificially acquired



includes specific host defenses that must be developed uniquely for each microbe through the action of specialized white blood cells. This form of immunity is usually long term and has memory.


Naturally Acquired:

Active: infection



Passive: Maternal antibodies




(Antibodies, T cells, accessory cells and cytokines)












Artificially Acquired:

Active: Vaccination



Passive: Immune serum




(Antibodies, T cells, accessory cells and cytokines)




Physical and chemical barriers:

-physical

-skin


-mucus membrane


-mucus


-cilia


-reflexes


-normal flora


-genetic resistance


specific differences


individual differences


-chemical


-pH


fatty acids on skin


-lysozymes


-proteases


-stomach acid



The immune system: organs


Lymphatic system

Spleen


Thymus


Other lymphoid tissue


Lymphatic system:

Lymph nodes

----- houses immune cells




Spleen

filters pathogens in the blood

Thymus:

Site of T cell maturation

Other lymphoid tissue

--GALT--gut associated lymphoid tissue


-Peyer's patches- intestines

Immune cells in the blood:


Whole blood contains:

-Red blood cells -carry O2 and CO2

-White blood cells


---leukocytes


-Plasma


water


proteins


chemicals



Blood plasma contains:

clotting factors


complement


antibodies


molecules not related to defense

Serum is missing....

clotting proteins


---from clotted blood

Resistance to infectious disease

Innate immunity


adaptive immunity

Innate immunity

nonspecific resistance


protest us against all pathogens


over-the-counter defenses

Adaptive immunity



specific resistance


defends against specific pathogens


prescription defenses

Nonspecific host defense- Innate immunity:

-Always present


-immediately effective


-no immune memory- work at the same speed each time

Inflammation:

Triggered by tissue damage


Rubor


Calor


Tumor


Dolor

Rubor:

redness


---from increased vascular permeability (more blood to the area)

Calor:

warmth


---from the increase in blood

Tumor:

swelling


---from the increased amount of fluids into the tissue

Dolor:

pain


---from the stimulation of the nerve endings

Inflammation- injury and mediator release


Presence of Bacteria...

1. A cut penetrates the epidermis barrier, and bacteria invade.



2. Damages cells release prostaglandins, leukotrienes, and histamine

3. Prostaglandins and leukotrienes make vessels more permeable. Histamine causes vasodilation, increasing blood flow to the site.

4. Macrophages and neutrophils squeeze through walls of blood vessels (diapedesis).

5. Increased permeability allows antimicrobial chemicals and clotting proteins to seep onto damaged tissue but also results in swelling, pressure on nerve endings, and pain.

6. Blood clot forms


7. More phagocytes migrate to the site and devour bacteria


8. Accumulation of damaged tissue and leukocytes forms pus.

9. Undifferentiated stem cells repair the damaged tissue. Blood clot is absorbed or falls off as a scab.

The process of phagocytosis:

Phagocytosis = eating of cells

Neutrophils (aka PMNs) :

are present in the highest numbers in blood

Macrophages ("big eaters") :

in the tissues encounter the pathogen first.

--secrete cytokines ----> inflammation, systemic responses

Pathogen recognition molecules on phagocytes:

membrane receptors (on phagocytes) bind commonly shared bacterial molecules


-LPS (endotoxin, (Gram -)


-Lipoteichoic acid ( Gram +)


-Patterns of sugars (PAMPs- pathogen-associated molecular patterns)


-nucleic acids

Pathogen recognition continued...


Phagocyte must...

bind pathogen to begin phagocytosis



Microbes with capsules are....

difficult to bind


---difficult to phagocytose



Phagocytosis is easier if the pathogen is...

coasted with antibodies or complement (opsonins)

Macrophages produce chemokine to increase inflammation:

This leads to


--capillary leakiness


--attracts more phagocytes: PMNs


--increases adhesion molecules for PMNs on capillary endothelium

PMN Diapedesis:

-Normal permeability


-Increased permeability of venue during inflammation



Normal permeability

Venues wall


Small amount of fluid


Monocyte


Small amount of fluid

Increased permeability of venue during inflammation

Interstitial spaces


More fluid and antimicrobial chemicals


Monocyte squeezing through interstitial space (diapedesis)


More fluid

Macrophages produce lymphokines

-Signals the adaptive immune system


-Fluid contains the pathogen drains from infection site into nearby lymph nodes


-Lymph nodes contain specific B and T cells


---make the adaptive immune response


---produce the immune memory cells



Macrophage lymphokines

-Signal hypothalamus to increase body temperature = fever


-Signal liver to produce acute phase proteins = opsonins that aid phagocyte binding of pathogen


-Signal bone marrow to release more PMNs (neutrophils)

Pathogen destruction

-Pathogen is killed by enzyme digestion, toxic oxygen molecules, and defense's


-Some pathogens resist killing and live in phagosome or escape to cytosol (Mycobacterium tuberculosis, Listeria monocytogenes)

Two plasma protein defense systems :

Complement -lyses bacteria


Interferon- stops virus infection

Complement - classical pathway

Initiation:


--C1 binds to antibodies attache to a bacterium




Amplification and cascade


--C1 activates other components


--some stimulate inflammation


--some come together and begin to bind on the surface of the bacterium

Complement - classical pathway continued

Polymerization:


-more subunits come together and bind on the surface


Membrane attack:


-final product is an enzyme that blasts a hole in the bacterium's membrane

Anti-Viral interferons

-IFNa (alpha) and IFNB (beta) made by virus-infected cells


-not virus-specific


-Bind neighboring host cells and induce synthesis of anti-viral proteins to block virus replication

Gamma interferon

-IFNy (gamma) is made by T cells


-Activates macrophages and neutrophils to kill bacteria


- [ IFNy is not antiviral ]

Yet another defensive cell: Natural Killer Cells

NK cells recognize virus-altered receptors and kill virus-infected cells (also tumor cells)


-All nucleated cells in body have these membrane receptors


-NK cells can "recognize" cells that are infected


-Stimulate those cells to apoptose